NPI 1255447488

Kathy D. Granger, PTA

Practitioner Physical Therapy Assistant Jennings, LA

Practice location

Address: 2002 Johnson St Suite 100, Jennings, LA 70546-3646
Phone: (337) 824-4547
Fax: (337) 824-4548
Mailing address: 1327 Dulles Dr, Lafayette, LA 70506-3873

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A6997 (LA)

Other Physical Therapy Assistant providers in Louisiana →

Registry record

NPI: 1255447488
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.